dealflow
envelope $200M

← Targets

Marion Regional Medical Center

Hamilton, Marion County, AL · CCN 010044
Licensed to Marion Regional Medical Center, Inc.

Composite
56.7
rank score
Distress
85
FY2023
Fit
46
vs thesis
Estimated ticket
$2.5M–$5.0M
36 beds · within envelope
Ownership
nonprofit
STH

Why it ranks here

  • operating margin below -10%
  • total margin below -8%
  • 30-60 days cash on hand
  • current ratio below 0.8
  • liabilities exceed assets
  • occupancy below 30%
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • nonprofit — expect AG conversion review

Latest financials · FY2023

Net patient revenue$18.6M
Operating margin -24.7%
Total margin -21.8%
Days cash on hand 35
Current ratio 0.63
Occupancy22%

Facility

Beds36
Facility typeSTH
Settingrural
Ownership classnonprofit
Per-bed (low) $70.0K
Per-bed (high) $140K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2020 36 $16.8M $-4.6M -44.9% -23.5% 16 0.10 21% 388 100
2021 36 $18.7M $-2.4M -19.9% -11.8% 8 0.27 19% 370 100
2022 36 $19.7M $-303K -11.0% -1.4% 25 0.13 22% 289 91
2023 36 $18.6M $-4.1M -24.7% -21.8% 35 0.63 22% 259 85

Owners

OwnerRole%SinceType
Belinda Mcrae corporate director 2022-08
Bobby Walace corporate director 2011-11
Bruce Toppin corporate officer 2000-10
Bruce Toppin corporate director 2000-10
Bruce Toppin w-2 managing employee 2000-10
Clyde Nix corporate director 2011-11
Freemon Nixon corporate director 2022-08
Michael Spees operational/managerial control 2014-02
North Mississippi Health Services Inc
Tupelo, MS
5% or greater direct ownership interest 2000-10
Robert Trimm w-2 managing employee 2020-10
Sharon Nobles corporate officer 2017-04
Waymon Frederick corporate director 2022-08

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.

Who has been buying in AL

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-08-01 University Of Alabama At Birmingham Uab Callahan Eye Hospital Authority University Of Alabama Hospital 1,149
2025-05-01 Marion Regional Health - Winfield, Inc. Northwest Medical Center Inc. Northwest Medical Center 28
2024-09-30 City Of Jackson Healthcare Authority Jackson Medical Center, Llc Jackson Medical Center 35
2024-04-01 Hh Health System - Dekalb Llc Fort Payne Hospital Corporation Dekalb Regional Medical Center 97
2023-10-01 Usa Health Hca Providence Hospital Llc Providence Hospital Providence Hospital 349
2021-10-01 Hh Health System - Jackson Llc Jackson County Health Care Authority Highlands Medical Center 45
2018-06-01 Floyd Cherokee Medical Center Llc Centre Hospital Corporation Cherokee Medical Center 45
2017-11-01 The Health Care Authority Of The... Greenville Hospital Corporation Regional Medical Ctr Of Central Al 44
2016-01-01 Hh-Health System - Athens Limestone Llc Healthcare Authority Of Athens And... Athens Limestone 66